Who is Providing Ostomy Care?
A confluence of circumstances can interfere with provision of ostomy care. Pre- and postoperative ostomy teaching and rehabilitation often occur in non-acute care settings staffed by clinicians who may lack current knowledge of state-of-the-art ostomy care, appropriate use of modern products, and cost-effective care provision. An “aging” nurse base may be relying on outdated methods or have inadequate understanding of nursing’s role in ostomy care. Regulatory agencies may limit access to care via restricted reimbursement. Most importantly, demand is exceeding supply — the number of specialized ostomy nurses is insufficient to handle the growing number of patients. Thankfully, wound ostomy continence nurses are increasingly recognized (and hired) for their expertise. They are encouraged to be proactive in terms of establishing standards of care, teaching protocols, providing staff education, evaluating ostomy products, and determining cost effectiveness of products relevant to their pat
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